Adderbury care home “requires improvement” says watchdog

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A care home in Adderbury has been told to improve by the government’s health watchdog after it found there were not enough staff to meet the needs of residents and keep them safe.

Lake House care home was rated as “requiring improvement” by inspectors from the Care Quality Commission (CQC) made an unannounced visit in April after “receiving concerns” about how the needs of people living in the home were being met.

They criticised the administration of medicines in the home, which led one resident to receiving four incorrect doses of Warfarin, a drug that prevents blood clotting, four times in one week.

Inspectors also concluded the care home, which currently provides 43 single rooms for residents over the age of 65, did not have enough staff to meet the needs of residents and keep them safe.

The report published last week on the CQC’s website, states: “People told us there were not enough staff to meet their needs and the rotas showed that target levels of staff had not always been achieved.”

One relative told inspectors: “I am concerned about falls and not sure if my mother is safe here”.

The report continues: “People gave us examples of how this affected their care. For example, one person said,“Sometimes I ring the bell and nobody answers it”. Another person said, “I can ask when I feel I need a bath, but itdoesn’t always happen that day, they haven’t got enough staff’”. However, the report states residents were generally positive about the service provided by Lake House.

Concerns were also raised about the level of training among some staff members. Inspectors found 19 staff had not attended initial or follow-up training in the mental capacity act (MCA) or deprivation of liberty safeguards (DoLS) legislation designed to ensure vulnerable patients do not have their freedom restricted inappropriately.

In addition, twenty four staff who handled food had not attended training in food hygiene and 19 staff had not attended training in dementia care.

Inspections by the CQC assess services under five criteria. For the effectiveness, care, responsiveness and leadership of its service, Lake House was told it requires improvement. For safety it was rated as inadequate.

The care home, which is managed by The Orders of St John Care Trust (OSJCT), was found to be in breach of four regulations including those relating to safety and staffing levels.

Though no formal action will be taken by CQC, inspectors have asked for a report detailing what action will be taken to resolve the issues.

Patsy Just, assistant operations director for OSJCT, said:“We are disappointed by the “requires mprovement” rating given to Lake House and most particularly the associated Warning Notice relating to staff levels.We have already discussed with CQC the issues raised and have implemented an action plan to address these as rapidly as possible.

“We can confirm that we have increased staffing levels while we are reviewing the current dependency of our residents, and are currently recruiting new staff to fill any vacancies.

“As always, residents and relatives are welcome to talk to the home manager at any time if they have any concerns.”

OSJCT is the second largest not for profit care provider in the United Kingdom. It is currently responsible for running 70 homes and six ‘extra care’ schemes in Lincolnshire, Wiltshire, Oxfordshire and Gloucestershire.